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Journal of Immigrant and Minority Health

, Volume 10, Issue 2, pp 167–176 | Cite as

Health Coverage of Low-Income Citizen and Noncitizen Wage Earners: Sources and Disparities

  • Ninez A. PonceEmail author
  • Susan D. Cochran
  • Vickie M. Mays
  • Jenny Chia
  • E. Richard Brown
Original Paper

Abstract

The health coverage of low-income workers represents an area of continuing disparities in the United States system of health insurance. Using the 2001 California Health Interview Survey, we estimate the effect of low-income wage earners’ citizenship and gender on the odds of obtaining primary employment-based health insurance (EBHI), dependent EBHI, public program coverage, and coverage from any source. We find that noncitizen men and women who comprise 40% of California’s low-income workforce, share the disadvantage of much lower rates of insurance coverage, compared to naturalized and U.S.-born citizens. However, poor coverage rates of noncitizen men, regardless of permanent residency status, result from the cumulative disadvantage in obtaining dependent EBHI and public insurance. If public policies designed to provide a health care safety net fail to address the health care coverage needs of low-wage noncitizens, health disparities will continue to increase in this group that contributes essentially to the U.S. economy.

Keywords

Health insurance Health disparities Immigrants Latinos Gender Citizenship 

Notes

Acknowledgments

This work was supported by several grants to the coauthors: the National Center for Minority Health and Health Disparities (P60 MD00508; Dr. Mays), the California Wellness Foundation (Dr. Brown), the National Institute of Mental Health (MH 6177; Drs. Cochran and Mays) and the National Institute of Drug Abuse (DA 15539; Drs. Cochran and Mays). Additionally, Dr. Ponce received support from the National Cancer Institute (1 K07 CA100097) in preparing the manuscript. The California Health Interview Survey is a collaborative project of the UCLA Center for Health Policy Research, the California Department of Health Services, and the Public Health Institute, funded by various federal and state agencies and private foundations.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Ninez A. Ponce
    • 1
    • 6
    Email author
  • Susan D. Cochran
    • 2
    • 3
    • 5
  • Vickie M. Mays
    • 1
    • 4
    • 5
  • Jenny Chia
    • 6
  • E. Richard Brown
    • 1
    • 6
  1. 1.Department of Health ServicesUCLA School of Public HealthLos AngelesUSA
  2. 2.Department of EpidemiologyUCLA School of Public HealthLos AngelesUSA
  3. 3.UCLA Department of StatisticsLos AngelesUSA
  4. 4.Department of PsychologyUCLALos AngelesUSA
  5. 5.UCLA Center on Research, Education, Training and Strategic Communication on Minority Health DisparitiesLos AngelesUSA
  6. 6.UCLA Center for Health Policy ResearchLos AngelesUSA

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